MEDICARE: GLOWUP RECOVERY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1417803388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOWUP RECOVERY LLC

Provider Business Mailing Address
First Line	:	8350 REYNOLDSWOOD DR
Second Line	:
City	:	REYNOLDSBURG
State	:	OH
Zip	:	43068-9334
Country	:	US
Telephone Number	:	614-307-2983
Fax Number	:

Provider Business Practice Location Address
First Line	:	8350 REYNOLDSWOOD DR
Second Line	:
City	:	REYNOLDSBURG
State	:	OH
Zip	:	43068-9334
Country	:	US
Telephone Number	:	614-307-2983
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	CETA GUGLIEMOTTO
Credential	:	MSW, LSW, LICDC
Telephone Number	:	614-307-3983

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “GLOWUP RECOVERY LLC ” Practice Location

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